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WR A.]6.67 STATE OF COLORADO _ ~_ <br /> (lOM) Connly <br />DIVISION OF WATER RESOURCES <br />• OFFICE OF STATE ENGINEER <br /> APPLICATION FOH LIVESTOCK WATER TANK : ..... ....... <br /> Title and Number <br /> This application and statement is made in conformity with the provisions of the Liv estock <br />~ Water Tank Act of Colorado, CRS 1973, 35-49-101. <br /> This application must be accompanied by a filing fee of one dollar, payable to the State <br /> Engineer of Colorado, and filed in triplicate. <br /> Name of Owner P.O. Address <br /> Tank located in the...... Quarter of Section ....... ,Township ............. Range... ........ ... ... .. P.. Ai. <br /> Water course on which tank is located .... ............ ........ ............. .......Trio. _to.... ...... .. .... ... <br />I Is water cow'se normally dry? .....: Subject to floods? .............. <br /> Approximate area of drainage basin above tank ........... ....... ........ .. .................. .. Acres. <br />I Vegetative cover above tank: Cultivated. .... ,Pasture...... .., Forest ,Brush ...... <br /> Topograph}' of drainage basin: Steep ......., Medium......... ., Flat . ........ <br /> Character of surface formation of drainage basin: Rock......... .., Rocky Soil. ... ...., Soil. <br /> <br />Approximate elevation of drainage basin above sea level ...... .. ......... .......... . feet. <br />~ Height of top of dam above bottoTrl of water course feet. <br />~ Height of bottom of spillway above bottom of water course ... ........................... .............. .feet. <br /> Approximate capacity of tank ................. ...... ...acre feet, high water line area................. ..acres. <br /> Location of spillway with respect to dam ..... ...... ..................... ......... <br /> Bottom width of spillway at narrowest point ..... ........... ...........feet. <br /> Distance of lower end of spillway below dam .... ... .................. ..feet. <br /> Formations in which spillway is Iocated: Rock. ........, Shale........ ., Clay ..........., Earth .... ......... <br />1 or Mixture of Soil and Rock ..... <br />j Width of top of dam ........... .. feet. Length of dam......... ....feet. <br /> Slope of upstream face of dam. Slope of downstream face of dam.... ..... <br />i Kind and size of outlet pipe ..... .......... ... ..... ................. . <br />i Na[ure of riprap or other protection to be placed over water face of dam <br />Give location by sectiun, township and range and size of every other stock tank now construct- <br />ed in drainage basin in which this tank will be located .......... ... ... ..... <br />............................ <br />~~ a ,.., ".r.e e, o.. <br />u.... <br />, , . <br />s ._ °' -.. Owner ...... <br />neec - _ _ <br />c ,. - .. cm .n ...... <br />~... <br />Date o[ receipt of application <br />Dale of approval <br />Number assigned tank <br /> <br />STATE ENGINEER <br />C111EF, Dam Section <br />-e ~... <br />MINIMUM DIMENSIONS OF <br />MAXIMUM CROSS•SEC TION OF DAM <br />